The nurse caring for a client who is a smoker, was diagnosed with scleroderma, and has been experiencing esophageal irritation and heartburn includes the following interventions into the client's plan of care: Select all that apply
1. Elevate head of the bed to 30 degrees.
2. Reapply nicotine patch as prescribed.
3. Provide decaffeinated beverages only.
4. Administer omeprazole (Prilosec) as prescribed.
5. Provide six small meals daily.
1. Elevate head of the bed to 30 degrees.
2. Reapply nicotine patch as prescribed.
3. Provide decaffeinated beverages only.
4. Administer omeprazole (Prilosec) as prescribed.
Rationale: Elevate head of the bed to 30 degrees. Elevating the head of the bed can reduce the backflow of acid into the esophagus that causes inflammation and heartburn. Reapply nicotine patch as prescribed. Avoiding cigarette smoking helps. Provide decaffeinated beverages only. Avoiding caffeine helps. Administer omeprazole (Prilosec) as prescribed . Medications used to treat esophagus irritation and heartburn include omeprazole (Prilosec). Provide six small meals daily. The client's heartburn will not be positively affected by frequent, small meals.
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The nurse is working with a client who exhibits a grandiose sense of self-importance. This characteristic is associated with which of the following personality disorders?
1. Narcissistic personality disorder 2. Avoidant personality disorder 3. Histrionic personality disorder 4. Dependent personality disorder
A patient with quadriplegia resulting from a spinal cord injury says to the rehabilitation nurse, "I'm sick of this therapy! What is an occupational therapist going to do for me? Can she give me an 'occupation'?"
What response by the nurse would be the most helpful? a. "No, but the occupational therapist can show you how to enjoy some recreational activities." b. "Yes, in a way. The occupational therapist provides training that strengthens muscles you can still control." c. "Maybe. The occupational therapist recommends adaptive equipment that will make you more independent." d. "No, the voc-rehab counselor helps with employment. The occupational therapist helps train you for improved communication skills."
The nurse in an allergy clinic is assessing a new patient. The nurse is aware that histamine plays an important role in the immune response and that the effects of histamine can manifest in assessment findings
What response can occur as a result of histamine release? A) Constriction of small venules B) Contraction of bronchial smooth muscle C) Dilation of large blood vessels D) Decrease secretion of gastric and mucosal cells
A laboratory finding indicative of DIC is:
a. decreased fibrinogen. b. increased platelets. c. increased hematocrit. d. decreased thromboplastin time.